Article Types
Medical education
Murphy’s sign
A common abdominal examination manoeuvre, but a common understanding is elusive
Phillip L Jeans
Sampling: how you choose people is as important as how you analyse their data
Careful research design is essential for obtaining useful data
Michael P Jones · John R Attia
Bringing competencies closer to day-to-day clinical work through entrustable professional activities
As they require the integration of various competencies, EPAs are valid tools for assessing trainees
Olle ten Cate · Stephen Tobin · Marie-Louise Stokes
Central visual loss following a motor vehicle accident: traumatic airbag maculopathy
n/a
Capucine Odouard · Chih-Hung Kuo · Yasser M Tariq · Jerome HI Ha · Brighu Swamy
Aiming for the truth: understanding the difference between validity and precision
N/A
John R Attia · Michael P Jones · Belinda Suthers
Central retinal venous pulsations
Diagnosing raised intracranial pressure through ophthalmoscopic examination
Balakrishnan (Kichu) R Nair · Christine Y Chen · William Browne · Daniel McKay
Severe GHB withdrawal delirium managed with dexmedetomidine
An alternative to benzodiazepines offers a less invasive and safer approach to the management of withdrawal
Emma MY Tay · Robert I Graham · Richard O Day
Fleischner sign with pulmonary hypertension complicated by thrombosis
n/a
Hashrul NZ Rashid · Kenneth KP Lau
The jugular veins: gateway to the heart
Inspection of the jugular veins provides a simple means of determining whether pressures in the right side of the heart are normal or elevated
Andrew Elder · Balakrishnan (Kichu) R Nair
Reversal of end-stage renal failure using direct-acting antiviral agents for chronic hepatitis C
A case of significant recovery of renal function in a patient treated with direct-acting antiviral medications for chronic hepatitis C virus infection
Tim Mitchell · Aron Chakera · Gary P Jeffrey · Leon A Adams · George Garas · Tamara Jones · Gerry MacQuillan
Pitting and non-pitting oedema
The distinction is essential to determine aetiology and treatment
Elizabeth Whiting · Madeline E McCready
Cardiac tamponade in undiagnosed systemic lupus erythematosus
A 22-year-old woman presented with a 3-day history of fever, retrosternal chest pain and exertional dyspnoea. Her heart rate was 130 bpm with a blood pressure level of 109/68 mmHg. Physical examination suggested tamponade: distended jugular veins, pulsus paradoxus and muffled heart tones. The chest radiography was notable for the characteristic water-bottle sign (Figure, A).1 Contrast-enhanced chest computed tomography demonstrated a massive pericardial effusion (Figure, B) associated with venous engorgement of the superior and inferior vena cava (SVC, IVC), prevascular space (arrows), and bilateral axillary veins (arrowheads). An emergency thoracoscopic pericardial window was performed and 620 mL of bloody fluid was drained. The presence of anti-nuclear, anti-double-stranded DNA, anti-Smith antibodies and hypocomplementaemia supported the diagnosis of systemic lupus erythematosus.2 The patient recovered after 1 week of intravenous methylprednisolone pulse therapy. At an 8-month follow-up, there have been no recurrences. Figure A B
Tsung-Han Ho · Yi-Tin Tsai
Stroke in a young man with untreated HIV infection and neurosyphilis
HIV infection is an important risk factor for stroke and testing should be performed in all young stroke patients
Abhay R Venkat · Jason Wenderoth · Louise Evans · Cecilia Cappelen-Smith
Detecting ascites
Most cases can be diagnosed by good clinical assessment at the bedside
Martin Veysey
Clinical examination: evidence and eminence
Introducing a new MJA series outlining essential clinical skills for generalists, doctors in training and medical students
Balakrishnan (Kichu) R Nair · Simon O’Connor
Ankles jerk — yes, but how?
Eliciting an ankle jerk requires the skills of an experienced bell-ringer, an expert golfer and a mechanical engineer
David B Williams
Do indigenous health curricula in health science education reduce disparities in health care outcomes?
Objective: To undertake a systematic literature review to determine the scope, rationales, and evaluation foci of indigenous health curricula included in university-based professional training of health care service providers.Study design: Systematic review.Data sources: We searched the Australasian Medical Index, ATSIhealth (Aboriginal and Torres Strait Islander Health Bibliography), CINAHL PLUS, MEDLINE, SCOPUS version 4, and Web of Science databases using relevant keywords. Our ...
Shaun C Ewen BAppSc(Physio), MMIL, DEd · David J Paul MB BS, PhD · Gina L Bloom BA(Hons), MPhil
Taking stock of interprofessional learning in Australia
Changes in health service delivery and issues of quality of care and safety are driving interprofessional practice, and interprofessional learning (IPL) is now a requirement for medical school accreditation. There is international agreement that learning outcomes frameworks are required for the objectives of IPL to be fully realised, but there is debate about the most appropriate terminology. Interprofessional skills can be gained in ...
Louise N Greenstock BSc(Hons), PGCertSS, PhD · Peter M Brooks AM, MD, FRACP, FAFRM · Gillian R Webb DipPhysio, MClinEd, DEd · Monica C Moran GradCertEd, MPhil(OT), DSocSc